Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 11625 | HI |
NPI | 1003160144 |
---|---|
Provider Name | Mr. Joo Hee Choi |
First Address | Honolulu, HI 96814-2506 |
Second Address | Honolulu, HI 96814-2506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2012 |
Last Update Date | 26/10/2012 |